|
|
|
LECTURE I |
PREFACE
WITCH DOCTORS, ALCHEMISTS, AND
PHYSICIANS |
|
|

"That a whole nation should have
a special dress, special tools and weapons, special laws of
marriage and property, special moral and religious doctrines, is
a remarkable fact, which we notice so little because we have
lived all our lives in the midst of it."
Edward Burnett Tylor (1874)
⌂
|
|
Within this series of freshmen-level lectures;
we shall attempt, for the first time, to present our contemporary
understanding of the human brain not as a body of knowledge, but
as a dynamic and transient understanding - nurtured both
by the curiosity of scientists, and the innovation of engineers.
We shall attempt, furthermore, to present this understanding without
divorcing it, as is so often done within the course of academic
exposition, from the reality from which it emerged.
To this end, this preface, and the introductory
discussions which follow, shall be devoted to providing the historical
context within which we shall examine this understanding; considering
those intellectual processes that may have yielded it; and recognizing the
mundane conditions that continue to sculpt it.
|
|
|
It is a liberty, often taken of convenience,
which has
become ubiquitous within the course of academic exposition - and
particularly of that class which focuses upon scientific history; to
regard the evolution of scientific understanding as a linear
progression of ideas leading man from a state of ignorance to one of
relative enlightenment. As Prussian medical historian Erwin Heinz
Ackerknecht (1906-1988) observed; “this
is quite obvious from the older histories of medicine: in so far as they
start with a chapter on primitive medicine, it is usually a projection
of our medicine into the world of the Primitives, and then some remarks
about their 'queer superstitions' [...] they stick to the old
evolutionary concept that primitive medicine is a predecessor of modern
medicine. They do not study it as a thing in itself, worthy to be
studied as an organism in itself, but rather as a kind of embryo which,
when it has grown and been properly delivered by the Renaissance,
becomes modern medicine.”
In reality, the process which has yielded our contemporary
understanding of the human brain is not a linear progression
of ideas; but a
gradual refinement of questions. For what
distinguishes our understanding from that of our intellectual forbearers
is not its relative correctness, its value to humanity,
nor the degree to which it may be judged
objective and complete; but rather, simply the relative
breadth of the questions from which it has been derived.
|
|
The relationship between
ancient and contemporary scientific understanding |
|
A GRADUAL REFINEMENT
|
|
|
|
The world known to the scientists of
Ancient Greece did not include neurons,
neurotransmitters, or hormones (except, perhaps, as
ideas); and as such, knowledge of these structures
is not reflected in those questions they posed, and
considered, in their attempts to understand
themselves and the world they occupied.
Contemporary scientists, being now aware
that such structures exist (an awareness extended by the
innovation of engineers), are afforded, by this
awareness, the privilege to pose questions which narrowly
focus their efforts upon these minute aspects of
their world; and, thereby, the ability to seek
understanding of themselves, and their world, in
regions unimagined - and for this reason alone
unexplored - by their predecessors.
Despite this
apparent difference, however, the ultimate understanding
contemporary scientists seek, remains fundamentally the same as
that sought by their intellectual forbearers in Ancient Greece.
For the cradle of all scientific inquiry is the human experience,
and thus, those mundane mysteries it alone has long cast, unprejudiced,
upon man's curiosity and intellect - among these: the mysteries of
consciousness, illness,
death, and motion.
That
contemporary scientists no longer ask
“what is the 'self'?”,
then, should not suggest to us that the answer to this question is no
longer sought; but rather, that it is sought within other
questions - questions such as “how is language processed?” or “where
is the sensation of pain experienced?” Though neither of these
questions, alone, attempts to glean understanding regarding the
entire
nature of the 'self'; each examines a specific quality
of this seemingly intangible aspect of our existence that may,
when considered collectively, yield insight into the larger
question from which they are derived (“what is
the 'self'?”).
|
|
The roots of scientific inquiry -
why are scientific inquiries conducted? |
|
|
|
|
|
While written in reference, specifically, to the study of
consciousness; British molecular biologist Francis Harry Compton Crick
(1916-2004), in his 1994 text The Astonishing Hypothesis,
noted that “it is
characteristic of a scientific approach that one does not try to
construct some all-embracing theory that purports to explain all
aspects of consciousness [...] Rather, one tries to select the most
favorable system for the study of consciousness, as it appears at
[their] time, and study it from as many aspects as possible. In a
battle, you do not usually attack on all fronts. You probe for the
weakest place and then concentrate your efforts there.”
That being said, however, to interpret this
portrayal of the
scientific approach as implying that all scientists have
approached (and continue to approach) such questions in a uniform
manner would be a mistake; as our contemporary scientific understanding
- albeit founded, to a great degree, upon experimentation and careful
consideration; remains very much a product of human culture.
Culture, within the context of this discussion, referring to the
system of ideas to which an
individual ascribes in order to improve their ability to satisfy
their fundamental needs (regardless of whether these ideas are
acquired by personal observation and study, or adopted from the larger
social community to which the individual belongs).
Prussian historian and philosopher Oswald Arnold
Gottfried Spengler (1880-1936), in his 1914 text
Der Untergang des Abendlandes
(Translated: The Decline of the West), wrote that
“every critical science, like every myth and every religious belief,
rests upon an inner certitude. Various as the creations of this
certitude may be, both in structure and in repute, they are not
different in basic principle [...] Every idea that is possible at all is
a mirror of the being of its author.”
Irrespective of the nature of this inner certitude; while
we may observe our world through the window of our senses (and those
tools we have created to observe the world beyond them - both directly
and by analogy); comprehending the
imperceptible phenomena that influence and direct these aspects,
is a task that must, by its inherent virtue, rely upon an underlying
theory that we may no more than believe.
|
|

Figure P:1.2 -
Were it
not for the development of tools such as the microscope
- the model displayed above having been designed by
Dutch engineer Antoni van Leeuwenhoek (1632-1723) scientific
inquiry would have remained restricted to only those aspects of
the world that lay within the limits of man's visual acuities.
Drawing by John Mayall
Jr.
|
Consider, for example, how mankind has approached the
study of illness.
|
|
The scientific approach |
|
OF SCIENCE AND CULTURE
|
|
|
|
Throughout human history, man has been confronted by a
plethora of physical ailments that, to the extent to which any two
cultures occupied similar geographic and environmental regions, would
have exhibited themselves in an accordingly similar manner - the
physical manifestation of a fever, for example, would have been largely
identical whether the individual afflicted resided in equatorial Africa,
southern China, central Mexico, or northern India. Yet, the manner
by which the peoples occupying each of these lands considered
this ailment, and the techniques they employed in its treatment, varied
considerably depending upon the theoretical foundations of their
respective cultural traditions.
In describing the ideas held by the the Mano - a
people who currently occupy the northern tip of the Republic of
Liberia; US physician and missionary George Way Harley
(1894-1966), in his 1970 text Native African Medicine,
wrote that “the Mano man
believes that everything animate or inanimate has a sort of
spirit or power within it [...] To him the struggle for
existence between all creatures, including plants and even
stones, is a very real struggle, each individual holding its
place by some innate strength of personality. Many of
these personalities are to him highly admirable and useful [...]
He knows [...] a certain fruit of a vine which acts as a
powerful heart stimulant. He eats this for endurance.
To us the fruit is not magic, it is therapeutic. But leaf,
stone, and fruit are all the same to him; in each case he has
caught the spirit of the substance and used it to his own good.”
|
“For
chills and fever, a young branch of lolo gbĩa
(Vismia leonensis) with all its leaves and buds is
boiled in water, until the water turns red. The
patient is bathed and made to inhale the fumes.”
|
|

Figure P:1.3 - A
diagram of the sunlight vessel of the stomach,
and the 48 acupunctural points that lie along it.
Illustration from Ling
Shu Su Wên Chieh Yao |
|
Within the Huang Ti Nei Ching Su Wên
(translated: The Yellow Emperor's Classic of Internal Medicine)
- a text whose authorship is attributed to the mythical Chinese
ruler Huang Ti (said to have ruled from 1697-2597 BC), the state of
an individual's health was considered in terms of the relationship
between two opposing forces believed to exist within all matter -
their Yin and Yang (a more detailed description of this concept we must
reserve for an aside).
As Prussian cultural
anthropologist Ilza Veith (b. 1915) described, in the
introduction to the 2002 edition of her translation of
this text:
|
“...
the two characters which stand for Yin and Yang have
received a vast variety of interpretations, but by analyzing
the ideographs themselves the original and basic meaning of
the characters can be ascertained. A literal
translation of the components that constitute the two
characters result in the meaning of 'the shady side of a
hill' for Yin and 'the sunny side of a hill' for Yang [...]
Since Yin and Yang are supposed to be the primogenital
elements from which the universe was evolved5,
it was natural that they should be endowed with innumerable
qualities. But if we keep in mind their original
meanings - cloudy and sunny - and their original functions -
that of the creation of heaven and earth - we shall find
that many of the additional connotations are either directly
related to, or at least logically derived from the original
concepts. Yang stands for sun, heaven, day, fire,
heat, dryness, light, and many other related subjects; Yang
tends to expand, to flow upwards and outwards. Yin
stands for moon, earth, night, water, cold, dampness, and
darkness; Yin tends to contract and to flow downwards.”
|
|
“These forces, Yin and Yang, are
theoretically supposed to balance each other completely but are, in
reality, in a constant state of conquest and defeat, of ebb and flow, as
it is expressed in the nature in the change from day to night.
Within the body, too, the distribution of the two elemental forces is
uneven [...] The complicated relationship of the dual power with the
various parts of the body can function smoothly only if the flux of Yin
and Yang is uninterrupted. When there is stagnation in certain
parts of the body and hence a deficiency in others, the result is
disease. The twelve ducts are supposed carriers of the two cosmic
forces, and if stagnation occurs it takes place within these channels.
It is thought that by puncturing the channels at those points which are
connected with the diseased organ, the evil air that caused the
stagnation is forced to escape and circulation can set in again.”
|
“The
(evil) winds contribute to the development of a hundred
diseases. When the present wind is cold and it strikes
man, it will cause his body hair to stand out straight and
it will cause his skin to be stopped up, and man will become
hot and feverish. At that time he can perspire and
thus send forth (the evil influences within). But it
is also possible that numbness brings about swellings and
pains. At that time one must apply hot liquids and hot
irons and finally resort to fire, which is used in burning
moxa for cauterization, and thus brings about the
disappearance (of the evil winds).”
|
According to the description presented by US
medical historian Gordon Allen Schendel (1905-1982), in his 1968 text
Medicine in Mexico: From Aztec Herbs to Betatrons, the Aztecs
- a composite people who once occupied lands located in present-day
central Mexico; “individual gods
and goddesses were believed to have the dual power to both cause and
cure certain diseases, at will - and often were linked to specific herbs
and other remedies. Thus the Aztec physician's treatment of
illness frequently had to take into account the role of the relevant
deity.”
|
“The technique most commonly employed by Aztec physicians to
reduce fever [...] included: (1) oral administration of a
part of a jar of water in which were steeped willow leaves
(that contain acetylsalicylic acid); (2) pouring the
remainder of the liquid over the patient's head; (3) laving
the patient's body with a cooling lotion; (4) administering
a cold enema.”
|
In the introduction to his 1963 translation of the
Sushruta Samhithā,
a text believed to have been composed by the Vishvámitran physician
Sushruta (c. 6th Century BC); Indian translator Kaviraj Kunja Lal
Bhishagratna (1865-?) describes human illness as brought about by the
imbalance between an individual's bodily humors - referred to as Váyu,
Pittam, and Kaphah. These “are called
Dhótus or fundamental principles of the economy, when in virtue of their
correlative and sustentative functions, or with the help of their
subservient processes of metabolism and lymphatic circulation, they
ensure and equipoise among the different vital and physiological
processes in the whole economy which is essential to its perfect health.
Biologically considered they are but the primary subtle dynamics of
organic life, or [...] the three fundamental principles of the body.
But when this healthy equilibrium is disturbed either through the agency
of an extrinsic or idiopathic factor, when any other of them is
abnormally augmented or dominates the other two, thus altering their
mutual relation in the economy, naturally certain pathological
conditions arise which form the esse of a disease.”
|
“To the query of the disciples, the divine physician,
Dhanvantari replied as follows: - 'First I shall discourse
on the nature and origin of fever for it is the king of all
bodily distempers in as much as it affects the whole
organism at a time [...] The disease which is marked by the
arrest of the flow of perspiration, by increased heat (of
the skin), by pain all over the body and by a sense of
numbness in the limbs, is called Jwara (fever).
Cases of fever of which the causes are numerous, are divided
into eight types according as they are brought on through
the derangement of the three bodily Doshas separately, or
through that of any two of them in combination or through
their concerted action, or by any extraneous causes.
... draughts of filtered (matured but non-medicated)
clarified butter should be given as soon as the premonitory
symptoms would make their appearance and the patient would
get relief thereby. This is applicable only in a case
of the Vátaja type of fever while purgatives should be administered in a
case of the Pittaja and mild emetics, in a case of
the Kaphaja type under similar conditions. In
cases of Dwidoshaja and Tri-doshaja fevers,
the foregoing measures should be adopted according to the
Doshas involved in each case. In the cases in which
emulsive measures (sneha-Karma) and exhibition of purgatives
and emetics are forbidden, such measures should be employed
as would tend to lighten the system such as fasting (Langhana)
etc.”
|
Each of these treatment practices was founded upon a
unique underlying theory, and while it may be tempting to believe that
those which we practice today are not; in reality, they differ from
those described above only in the nature of their underlying
theory.
The Mano physician treated illness with herbal remedies
believing that by doing so, the spirit contained within each substance
would relieve the suffering of the afflicted individual. The
Ancient Chinese physician treated illness with techniques such as
moxibustion and acupuncture
believing that any physical ailment was brought about by an imbalance in
the individual's Yin and Yang resulting from a disruption in their
circulation; and that only by returning this circulation to its
uninterrupted state, could the health of the individual be returned.
The Aztec physician treated illness by applying herbal remedies with the
belief that each herb invoked the power of a different supernatural
being, and that only by invoking the proper deity, and appealing for
their grace, could the exhibited symptoms be alleviated. The
Vishvámitran
physician treated illness believing that such infirmities
were brought about by an imbalance between the individual's bodily
Doshas; and that only by returning these qualities to their original
proportions, could the individual be returned to his prior condition.
Contemporary physicians - who practice what has been
termed experimental, or scientific, medicine; treat illness
based upon the emerging understanding of the biological and
physiological properties of their contributing agents - whether these be
acquired (e.g. germs), or ingrained (e.g. genetic characteristics); the
belief that the human body, as a physical system, is subjected to the
same material rules that govern all of nature; and that, as a product of
evolution, this system is one shaped by those processes serving
natural selection.
While this underlying theory
has allowed contemporary physicians to refine, considerably, the
manner by which they may otherwise approach the treatment of certain
illnesses; understanding the causal relationship between these
agents, and the illnesses with which they are associated, continues - as
it did their forbearers - to elude them. Not every
individual who has been bitten by a malaria-carrying mosquito will
develop this illness; and not every individual who develops this
illness will experience it, or respond to a specific form of treatment,
in the same manner. Not
every individual possessing genes believed to be associated with
the development of cancer will develop this illness, and not every
individual without them will be spared from its development.
|
|
The application of the scientific
approach to the study of disease |
|
THE FUNCTION OF SCIENTIFIC
UNDERSTANDING
|
|
|
|
Scientific inquiry, if we attempt to define this term in
as accurate a manner as possible; is a pursuit for knowledge
founded upon the belief that past experience and understanding may
provide insight, and possibly the ability to predict, future outcomes
and events.
We refer to the rules by which this knowledge is
applied, today, as logic and reason - and those rules
applied by our intellectual forbearers as magic and
superstition. Yet, just as each individual may be said to
possess a different world-view depending on their unique experiences;
each human society (irrespective of its relative historical position)
has held its own view regarding the world that they occupied, and these
views varied based upon the aspects of the world that they could
explore; and the manner by which they chose to interpret what they had
seen. While one view may appear to us magic, and the other
science; each is founded upon the same underlying theory - that
past experience and understanding can provide insight into future
events.
That this process is founded upon culture, then, is most
easily demonstrated if we observe that none of the underlying theories
described above was incomplete. An Aztec physician would
not abstain from treating an illness simply because it was one that he
did not recognize; or deny the occurrence of an event simply because it
did not conform with his prior understanding and experience.
Instead, he would likely attempt to apply ideas and understanding
garnered from similar observations (whether his own, or acquired
thru tradition) to comprehend those that have departed from them.
In speculating upon the origins of the healing arts within the Mashona
tribe of present-day Zimbabwe and southern Mozambique (then Rhodesia),
South African physician Michael Gelfand (1912-1985), in his 1956 text
Medicine and Magic of the Mashona, wrote that:
|
It is difficult to refute the
fallacies underlying the precepts and prohibitions of the
magician since, in most cases, the desired event actually
follows sooner or later. Rain, for example, generally
follows some time after the rain-making ceremony. The
magician himself, naturally, is not prepared to analyse very
deeply his own craft or its underlying fallacies. In
the past there was no other to whom the sick, the injured or
the unfortunate could turn, and as his remedies bore
results, they were believed in. Many illnesses resolve
naturally with time and if a client felt better shortly
after the administration of a charm or cure it was not
unreasonable for both patient and magician to attribute the
cure to the magician's skill or to the remedy which he
employed.
The
practice of magic naturally led the doctor to try the
effects of herbs and parts of animals for medicinal
purposes. By trial and error over many years there
came to be acquired a considerable body of knowledge of the
pharmacological action of plants and their toxic properties.
From experience it was discovered which herbs are poisonous, which possess a cathartic or
emetic effect, and which relieve a spasm of the bronchial
tree, such as is found in asthma. Thus the magician is
also a herbalist. He knows what effects roots have on
the symptoms of disease, for his practice is largely
confined to the treatment of symptoms [...] When herbs fail
to afford relief, another remedy must be sought. And
then it is that the man who cannot appreciate the natural
causes for disease is forced to look for the preternatural
cause of his disease. He realizes the vastness of
nature and his own smallness and he believes his illness to
have been caused by preternatural beings who have control
over what happens on earth. And thus it is that we are
brought to the discussion of his religion in which he finds
the answer to the causation of disease.”
|
Presently, there exists a vast body of natural phenomena
that continue to elude contemporary scientific understanding (e.g. the
placebo effect); and until these have all yielded their secrets
to those techniques man applies in conducting his scientific inquiries;
scientific understanding will remain a product of human culture, and the
success and longevity of a given treatment practice, dependent upon only
one factor - whether or not the afflicted individual continues to suffer
from their symptoms following treatment (and if so, to what extent their
symptoms remain unaffected).
If a treatment technique, founded in contemporary
scientific understanding, fails to elicit an alleviation of these
symptoms (or produces a worsening of the afflicted individual's
condition), its practice would not be
prolonged solely because its theory is a logical extension of its
practitioner's scientific understanding. Similarly, if a treatment
technique proves successful in either the elimination, or lessening, of
these symptoms; its continued practice would not be inhibited by
whether its practitioners understood the microscopic nature of the
illness, the chemical nature of the substances used in its treatment, or
the nature of the interaction between the illness-contributing agent and
the physical systems of the affected individual.
Consider, for example, the
narrative by Japanese physician Genpaku Sugita (1733-1817), transcribed
in his 1815 text Rangaku Kotohajime
(translated: Dawn of Western Science in Japan), of how
Dutch ideas regarding anatomy and physiology were first introduced to
Japan during the latter years of the eighteenth century; and the
description by Sri Lankan historian Laxman Devasena (Dates Unknown), in
his 1981 thesis Some Traditional Sri Lankan Medical Techniques
Related to Acupuncture, of the continued survival of traditional
(holistic) medical practices alongside those of contemporary (experimental)
medicine.
The questions we must ask, if we are to glean a true
insight into our contemporary understanding of the human brain, thus,
are not “what
do we understand?”;
but those questions which must
occupy the foremost position within the mind of the scientific
researcher - namely, “how
have we understood what we have observed, and why have we
interpreted our observations in the manner we have?”
|
|
The similarities between
contemporary and ancient understanding
|
|
FOREWORD TO THE HUMAN BRAIN
PROJECT LECTURES
|
|
|
|
Within the introductory discussions that will follow this
preface, we shall examine the motivations that may have provided the
impetus for man to engage in his inquiries toward understanding his world,
as well as those processes that have served to both develop and refine
his acquired understanding. Before we
proceed, however, in the interest of clarity and simplicity; we shall
first pause to define the terms scientist, philosopher, and engineer in the
manner in which they shall be referred to herein.
To consider scientists solely as those individuals who
rely upon the experimental method as it appears today, would be akin to
considering actors solely as those individuals who have performed in
motion pictures - thereby excluding all those who have dedicated their
careers to radio or stage productions. In the interest of
avoiding such restrictive definitions, we shall instead define
scientists as those individuals who ascribe to
the belief that previous experience and understanding may be applied to
comprehend and predict future events, and who apply this belief in
attempting to understand those events which transpire between an
individual's birth and death;
philosophers as those who ascribe to this same belief, but extend
its application to events beyond birth and death; and engineers
as those who apply understanding garnered by observation in the design
of tools and other artificial devices that extend both man's ability to
study his world, and his ability to manipulate it.
|
|
|
|
|
|
|
|
|
|